DR. DAVID CORNELL GANCH (NPI# 1174609820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174609820 |
| Entity Type | Individual |
| Full Name | DR. DAVID CORNELL GANCH |
| Credential | M.D. |
| Practice Address |
5th Ave and Roosevelt Rd Hines IL 60141 |
| Practice Telephone | 7082024177 |
| Mailing Telephone | 7082024177 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5TH AVE AND ROOSEVELT RD |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356693 | Emily Heekin Garza | Physical Therapist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-05-23 |
| 1780882472 | Michael R Smalara | Spec/Tech, Pathology | 5th Ave and Roosevelt Rd, Edward Hines Jr Hospital, Hines, IL 60141-5000 | 2007-07-05 |
| 1174696777 | George F Steffen Jr. | Physician Assistant | 5th Ave and Roosevelt Rd, Hines, IL 60141-5000 | 2006-11-15 |
| 1780760025 | Kathleen Marie Ambrose | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d Hines Va Hospital, Hines, IL 60141 | 2006-10-30 |
| 1982789137 | Siobhan Mary Wallner | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120, Hines, IL 60141 | 2006-10-26 |
| 1114000486 | Carrie Hintzke | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120b, Hines, IL 60141 | 2006-10-23 |
| 1942380704 | Sharon Pauline Foley | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d, Hines, IL 60141 | 2006-10-16 |
| 1891894010 | Mara Jill Andersen | Pharmacist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-22 |
| 1407953854 | Karen L Dahlheimer | Specialist/Technologist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-20 |
| 1285738419 | Deborah Dean | Specialist/Technologist | 5th Ave and Roosevelt Rd, Bldg 113, Hines, IL 60463 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134395544 | Larissa Bresler | Urology | 5000 S 5th Ave, Hines, IL 60141-3030 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DAVID CORNELL GANCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.